179809 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00351006 Page 1 of 1
ONE CIVIC SQUARE PRESTIGE PERFORMANCE II INC
CHECK AMOUNT: $222.43
CARMEL, INDIANA 46032 326 eor+N STREET
CARMEL IN 46032 CHECK NUMBER: 179809
CHECK DATE: 11/24/2009
D'lPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 5133 15.78 POSTAGE
1110 4345002 21240 5133 206.65 STICKERS
Nov M �?Ecelv'�t'
r 6 1009 Invoice
DATE INVOICE
4PRES'®RFORMANCE II, INC.
3 1 1 16/2009 5133
26 John Street
Carmel, IN 46032 -1215
Phone (317) 848 -2950 Fax (317) 848 -0911
BILL TO SHIP TO
Carmel Police Dept. Same
3 Civic Square
Carmel IN. 46032
Attn: Ann Gallagher
P.O. NUMBER TERMS REP DATE SHIP VIA
21240 Net 15 BAS 11/11/2009 UPS
DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Junior Police Badge With Carmel Imprint (Price Per M) 5 41.33 206.65
Shipping Charge 1 15.78 15.78
Best Wishes For A Happy Thanksgiving Season!
Tota $222.43
Make all checks payable to Prestige Performance 11, Inc.
A f=inance Charge of 1.5% (18% APR) will be assessed on unpaid balances beyond
established terms.
INDIANA RETAIL TAX EXEMPT PAGE
Ci f C rmel CERTIFICATE NO. 003120155 002 0 lytL li PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 7 1 w 6(1
30-K CIVIC SQUARE E SIIPPING BER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 DELIVERY MEMO, PACKING SLIPS,
LABELS AND ANY CORRESPONDENCE.
FORM'APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. L VENDOR NO. DESCRIPTION
Nn« liar- I- 7 Q stickers
VENDOR Prestige Performance II SHIP City of Carmel Police Departma tt
326 John Street TO 3 Civic Square
Carmel, IN 46032 Carmel, IN 45032
ATTN: Barb Simpson ATTN: Ann Gallagher
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5,000 junior police badges 41 <33fm 206.65
m
g s»
l P
f C
City of a to
Send Invoice To: Ci
ATTN: Teresa Anderso
3 Civic Oquare
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
1110 450-02 promotional and s cia 3ArMEN,
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 4
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief o f Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 M CLERK- TREASURER
DOCUMENT CONTROL NO. A V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.--- WARRANT NO._.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #ff ITLE AMOUNT
DEPT. I hereby dertify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except_
20
Signature
The
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Prestige Performance 11, Inc. Purchase Order No. 2124OF
326 John Street Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/ 16M 5133 a ent for ilnior police badges 222.43
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Prestige Performance II. Inc. IN SUM OF
326 John Street
Carmel, IN 46032
222.43
ON ACCOUNT OF APPROPRIATION FOR
police gener alfund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
2124OF 5 113 450-02 206.65 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1110 5133 421 15.78 which charge is made were ordered and
received except
Novembe 18 20 09
,LJ
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund